Get Help Quick Close

Allied Health Supervisor application form

Get Help Quick Close

Minimum criteria

  • 3+ years in a mental health allied health role
  • Clinical supervision training or equivalent expertise
  • Currently receive ongoing supervision (at least 1 year)
  • Current professional registration (AHPRA, AASW, or NASRHP)
  • Agreement to follow Victorian Allied Health Clinical Supervision Framework

* indicates a required field

Details

First name is required.

The text you enter in the above text box will show on your public listing.

Last name is required.

The text you enter in the above text box will show on your public listing.

Email address is required.

The text you enter in the above text box will show on your public listing.

Where do you live is required.
Phone number is required.

Mobile or landline, please include area code. The purpose of collecting your phone number is for the database managers to contact you if necessary.

The text you enter in the above text box will show on your public listing.Mobile or landline, please include area code.

Discipline is required.
Service/organisation is required.
minutes

The text you enter in the above text box will show on your public listing if you state a session length.

$ Dollars

The text you enter in the above text box will show on your public listing if you state a session cost.

The text you enter in the above text box will show on your public listing. Include cost for within service and outside service.

Are you available to provide supervision under a reciprocal arrangement?

Experience

About me is required.

The text you enter in the above text box will show on your public listing. Please describe your background in a paragraph or two, noting your designation and years of experience. This is the first information that people will read about you. You may wish to include what interests you, your values, languages spoken, diversity etc.

My experience is required.

The text you enter in the above text box will show on your public listing. Minimum 3 years in a designated mental health role is required. List here designated mental health roles you have held. This will assist supervisees to determine if you have had the experience that is relevant to them. This may include role title, organisation, clinical or non-clinical sector, any other important characteristics of the roles.

The text you enter in the above text box will show on your public listing. Provide details of your current position to support supervisees confidence in the relevance of your role to their work. This may also assist in determining any conflicts of interest if you are working for the same organisation.

My training is required.

The text you enter in the above text box will show on your public listing. Specify any relevant training you have engaged in.

Services or settings I have experience inYour response below will show on your public listing. Select as many as apply.
Do you supervise from an intersectional lens? If yes, please indicate relevant experienceYour response below will show on your public listing. Select as many as apply.
My approach to supervision is required.

The text you enter in the above text box will show on your public listing. Describe in a short paragraph or two the approach you take towards supervision, your values as a supervisor, any methods or tools you use, why you are offering this service, what motivates you and what you aim to provide. Include any other information that will assist the supervisee to determine a suitable match.

Availability and delivery

Please indicate any of your specialty areasYour response below will show on your public listing. Select as many as apply.
Do you have experience in providing group supervision? *
Please indicate if you have experience providing group supervision.
What format of supervision do you provide? *Your response above will show on your public listing.
Please select at least one supervision format.
What frequency of supervision can you provide? *Your response above will show on your public listing. Tick as many as apply.
Please select at least one supervision frequency.
Mode of delivery *Your response above will show on your public listing. Select all that you are able to provide.
Please select at least one mode of delivery.

The text you enter in the above text box will show on your public listing. Please list a few suburbs or the general area/region you practice in.

AvailabilityChoose whole days or parts of days. Press the + sign to select parts of days.

This field is optional. The text you enter in the above text box will show on your public listing. Please state if you are able to attend other services for individual or group supervision.

Consent

You must consent for your public information to be made available.
You must confirm you have capacity to provide supervision.
You must agree to receive supervisor database communications.